Ali Syed A, Khan Hamza A, Irfan Omar, Samad Adeel, Mirza Yumna, Awan Muhammad S
Surgery, The Aga Khan University.
Medical College, The Aga Khan University.
Cureus. 2017 Jun 27;9(6):e1401. doi: 10.7759/cureus.1401.
Introduction TP53 mutation and overexpression have been correlated with poor survival in many cancers including oral squamous cell carcinoma (OSCC). We aim to understand the role of TP53 overexpression in OSCC in our population and correlate it with five-year survival to test its viability as a prognostic marker for OSCC patients. Materials and methods Patients with biopsy proven OSCC at Aga Khan University Hospital from January 2000 to January 2008 were recruited. Immunohistochemistry was used to establish TP53 status and the results were published. Following up on these patients, five-year data were collected and correlated with TP53 status and other clinicopathologic parameters. Results Overexpression of TP53 was not significantly associated with five-year survival (hazard ratio [HR]: 1.543; 95% CI: 0.911-2.612; p = 0.107). Conclusion Although we had proven statistical relevance when correlated with overall survival in our previous study, we were unable to extend the same relevance to TP53 overexpression when it comes to five-year survival.
引言
TP53突变和过表达与包括口腔鳞状细胞癌(OSCC)在内的多种癌症的不良预后相关。我们旨在了解TP53过表达在我们人群的OSCC中的作用,并将其与五年生存率相关联,以测试其作为OSCC患者预后标志物的可行性。
材料与方法
招募2000年1月至2008年1月在阿迦汗大学医院经活检证实为OSCC的患者。采用免疫组织化学法确定TP53状态,并公布结果。对这些患者进行随访,收集五年数据,并将其与TP53状态及其他临床病理参数相关联。
结果
TP53过表达与五年生存率无显著相关性(风险比[HR]:1.543;95%置信区间:0.911 - 2.612;p = 0.107)。
结论
尽管在我们之前的研究中,与总生存率相关时已证明具有统计学相关性,但在五年生存率方面,我们无法将同样的相关性扩展至TP53过表达。